Senior Medical Coder
3 days ago
As Amazon Healthcare continues to expand access to innovative primary care nationwide, we are strengthening the teams that support this mission. We are seeking Senior Medical Coders to join the Revenue Cycle team, with a primary focus on Outpatient Medical coding.
In this role, the Senior Medical Coder will partner closely with One Medical's Healthcare FinOps team to review, validate, and ensure the accuracy of outpatient claim coding, supporting compliant reimbursement and high-quality revenue operations.
This position is office-based in Pasay City.
Key job responsibilities
- Manage multiple coding tasks and projects, ensuring deliverables meet One Medical standards and are completed within acceptable turnaround times.
- Maintain current knowledge of CPT, ICD-10-CM, AHA Coding Clinic, and CMS guidelines.
- Accurately assign ICD-10-CM, CPT, and other applicable codes for office visits, procedures, and diagnoses in a production environment.
- Review and complete claim coding requests and edits in a timely and accurate manner.
- Perform accurate E&M level determination, including Annual Wellness Visits (AWV), supported by compliant documentation.
- CPC certification through AAPC and/or CCS certification through AHIMA is required
- 1+ year as an outpatient and/or risk adjustment coder
- Demonstrates knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
- Demonstrates the ability to perform accurate and complete chart reviews for HCC risk Adjustment
- Possess advanced knowledge and understanding of HCC risk adjustment, coding, and documentation requirements.
- Previous experience in a coding production environment.
- 1+ years as an outpatient and/or risk adjustment auditor
- 1+ years' experience in Medicare/Medicare Advantage
- A CRC license must be obtained within one year of hire (to be sponsored)
- Must have strong experience in Microsoft or Google Suite in spreadsheets and PowerPoint
- Works effectively and efficiently within a team environment.
- Adaptable to shifting priorities and demonstrates willingness to do what it takes to meet client and team needs.
- Complies with policies and procedures for the confidentiality of all patient records and the security of systems.
- Ability to work independently and meet quality of work and workload expectations
- Ability to manage multiple projects
- Strong written, verbal, communication, and attention to detail skills.
- Strong organizational, analytical, problem-solving, and time management skills Our inclusive culture empowers Amazonians to deliver the best results for our customers.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
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